Organization
ATHENS ASSOCIATES IN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ATKINS (PRACTICE MANAGER)
(706) 353-7648
Entity
Organization
Contact information
Practice address
300 HAWTHORNE LN, ATHENS, GA 30606-2152
(706) 353-7648
(706) 353-2771
Mailing address
300 HAWTHORNE LN, ATHENS, GA 30606-2152
(706) 353-7648
(706) 353-2771
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649228404
PA
GA
Enumeration date
05/15/2015
Last updated
05/15/2015
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